Tag Archives: braces

Reporter shares experience covering Medicaid’s orthodontic benefits

Sheila Hagar

Sheila Hagar

After a hint from her own dentist, Sheila Hagar started looking into concerns about the rising numbers of Medicaid kids getting braces in Washington. Hagar, who is medical and social services reporter for the Union-Bulletin, in Walla Walla, sought sources and found statistics that made her jaw drop.

“We should be taking care of people who really have a need,” a frustrated Walla Walla orthodontist, Thomas Utt, D.D.S., told her. “While his office – Walla Walla Orthodontics – is authorized to treat Medicaid-eligible children with braces,” Hagar wrote, “Utt grits his teeth at what he sees as misuse of funds and a lack of clarity over just what ‘medically necessary’ means when it comes to correcting kids’ teeth.”

Here, Hagar tells us more about how she tackled the reporting that led to her July 5 package “State Foots Skyrocketing $27 Million Bill for Braces” and what she is learning about orthodontic benefits under Medicaid. She also shares some wisdom on what to do when no one is returning your calls on an uncomfortable subject. Read how she did her reporting.

Reporter looks into rise in kids’ orthodontic care in Wash.

Image by Jlhopgood via flickr.

Image by Jlhopgood via flickr.

Though a state investigation has failed to prove that any dental providers committed fraud, scandal still hovers over Texas’ Medicaid orthodontic program.

Now questions are being raised in Washington, where there has been a spike in the number of poor kids with braces. Medicaid orthodontic spending in the state jumped from $884,000 for braces for just 1,240 kids in 2007 to nearly $27 million for 21,369 children last year, Sheila Hagar reported in a July 5 package for the Union-Bulletin in Walla Walla, Wash.

What is going on? Hagar talked to a Walla Walla orthodontist, Thomas Utt, D.D.S., in her quest to find out. Utt has been worrying about the increase and has been raising concerns on the state level.

“We should be taking care of people who really have a need,” Utt told Hagar. But “need” appears to be a moving and subjective target in the state when it comes to braces, Hagar reported. Continue reading